Wellington Dental Associates

LBN: Innovation Dental Pllc
Wellington Dental Associates is an health care organization with primary practice located at 9940 Sowder Village Square , Manassas VA 20109. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Innovation Dental Pllc can be contacted via phone (703) 330-3933, or through Yann, Borarath Mak via phone (703) 330-3933.

Contact Information

Primary practice address
9940 Sowder Village Square Manassas VA 20109
Phone: (703) 330-3933
Fax: (703) 330-3517
Website:
Map and Directions
Authorized official contact:
Name: Yann, Borarath Mak Doctor of Dental Surgery (DDS)
Phone: (703) 330-3933

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401410448 Virginia

Profile Details

NPI number 1225264302
LBN Legal business name Innovation Dental Pllc
DBA Doing business as Wellington Dental Associates
Authorized official Yann, Borarath Mak Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2009
Last updated Jun 3rd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225264302 NPPES
Virginia MEDICAID 1083887194

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